Organization
LOS GATOS ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE WALKER MD DDS (PRESIDENT)
(408) 412-8400
Entity
Organization
Contact information
Practice address
14830 LOS GATOS BLVD STE 200, LOS GATOS, CA 95032-2053
(408) 412-8400
(408) 412-5500
Mailing address
14830 LOS GATOS BLVD STE 200, LOS GATOS, CA 95032-2053
(408) 412-8400
(408) 412-5500
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
08/22/2022
Last updated
08/29/2022
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